| NPI | 1124509344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERWIN BENTON COO/Business Manager 402-578-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2018-08-25 |